VetCam Specialists, a CPD provider, has joined forces with Veheri, a diagnostic imaging education platform, to give its course attendees access to a DICOM viewer so they can view and edit case studies directly in the viewer whilst discussing them with lecturers and other vets. 

Christian Mauricio Gómez Álvarez, founder of VetCam Specialists, said: "This partnership represents a significant step forward in continuing professional development as our participants will receive first-class content and well-prepared,
interactive case studies where they can additionally work directly.”

In addition, Veheri offers free access to a global community, where veterinary surgeons can share and discuss diagnostic images and imaging studies.

The company also offers a teleradiology reporting service. 

The first joint training courses will be available from November 2024.

vetcameducation.com

www.veheri.com

International Cat Care (formerly the Feline Advisory Bureau) is once again raising the issue of cats accidentally poisoned by dog flea products containing permethrin.

The charity is undertaking a campaign to warn owners of the dangers of using dog flea products on their cats because cats are still dying unnecessarily. While the incidents outlined here occurred in the UK, previous reports have shown that this is the most common cause of poisoning of cats in many countries because products are widely and easily available.

Gary Rutland RVN DipAVN(Surgical), Head Nurse and Cat Advocate at the Cat Friendly Millennium Veterinary Practice in Essex was moved to get in contact with International Cat Care after the death of a nine-week-old kitten treated with a permethrin-containing dog spot-on bought at a local pet store. Understandably, both the owners and the practice staff were greatly distressed. The owner used it on her dog and, because it was cheap, assumed it would 'not be strong' and would be fine to use on the kitten.  A video of the kitten on the ICC website (www.icatcare.org/permethrin/cat-deaths) shows the resulting seizures.

The second incident concerned two 7-year-old cats treated accidentally after Donna, their owner, bought a dog spot-on containing permethrin from a local shop without wearing her glasses.  Someone had placed a dog treatment among the cat treatments and she picked it up.  No advice was given to Donna in the shop.  She said that the flea treatments were on the shelves, 'just like selling smarties in a children's candy store'. 

Although both products had a warning on the packaging, this was either not seen or not taken seriously enough because such products are so freely available and nobody thinks that a drop of a dog product could kill their cat.

International Cat Care is demanding that dog spot-on flea products containing permethrin should not be available without verbal advice at the point of sale. Currently these products are categorised by the Veterinary Medicines Directorate (VMD) in the UK as AVM-GSL, which means that they can be bought directly off the shop shelf without the need for advice. The charity says they should be recategorised as NFA-VPS so that they can only be purchased if there is someone in the shop who is suitably qualified to speak to and advise the buyer. The shop should advise that they are only for use on dogs, and ask if there are any cats in the home which could come into contact with a recently-treated dog. The owners can then be warned to keep the dog and cat apart, or advised to use a different product. Advice must be given with some other current non-permethrin containing spot-on products sold through pet shops under the NFA-VPS authorisation and many of these products have a much safer profile if used accidentally on cats, than those containing permethrin.

Dr Andy Sparkes, Veterinary Director for International Cat Care, said: 'Many practices see permethrin poisoning in cats several times a year but do not contact the VMD because the product is not a POM or they feel that the Directorate already knows about the problem. We feel strongly that the problem is greatly under-reported. Nothing will be done unless the full extent of the problem is realised by the VMD, so please report each one by going on the website at https://www.vmd.defra.gov.uk/adversereactionreporting/. These cat deaths are totally preventable - you can sign our petition at www.icatcare.org/permethrin/petition to change the categorisation.'

The charity is also asking the pet trade to voluntarily class these dog spot-on products containing permethrin as NFA-VPS and to provide advice to their customers accordingly. Pets at Home is working with International Cat Care and the company will be adding a till prompt so that the product cannot be sold without customers being asked whether they have a cat and given appropriate advice.

Maeve Moorcroft, Head of Pets at Pets at Home which earlier this year launched its Flea Fight Force said: 'We take the risk of permethrin poisoning in cats very seriously. We are introducing prompts at our tills so that customers are asked during the checkout process if they are aware of the risk to cats in the home when purchasing a permethrin based spot-on dog flea treatment, and also advised to wait at least 72 hours after treating the dog before the dog and cat can come into close contact.' 

International Cat Care is urging veterinary practices to ensure that if concentrated permethrin-containing spot-on products are prescribed and dispensed for use on dogs, adequate warnings are given, including when owners come in for repeat prescriptions. Asking if there is a cat in the house each time a product is dispensed is critical in case a cat has recently been added to the home.

Information on the veterinary treatment of permethrin poisoning cases can be found on the ICC website at www.icatcare.org/permethrin/vet-info

The Animal Health Trust has announced a research project which aims to improve the way dogs are treated for cancer. As part of the project, the charity is appealing to veterinary practices to send samples taken from dogs diagnosed with cancer.

Using the samples, the AHT's Oncology Research Group aims to develop prognostic tests for a number of canine cancers. These tests will assist veterinary professionals in predicting how individual tumours will behave and respond to treatment. It means that each dog will be offered the best treatment for its individual case, ensuring that dogs which do not require aggressive therapy are spared the rigours and possible side effects associated with such a treatment.

The samples required are surplus small pieces of the biopsies of suspected tumours, collected for diagnostic histopathology. Cheek swabs, or blood samples that are surplus to those that are often collected for standard clinical investigations are also required. Samples will be submitted for research only with the written consent of each dog owner.

Mike Starkey, from the AHT's Oncology Research Group, said: "To make progress we need to collect many samples of many different tumours. We simply need vets to send us freshly frozen (not fixed in formalin) biopsies of suspected tumours."

Samples of the following tumour types are needed from the following breeds:

• Boxer - lymphoma, glioma mammary tumour, mast cell tumour
• Bullmastiff - lymphoma
• Cocker Spaniel - mammary tumour
• English Springer Spaniel - lymphoma
• German Shepherd Dog - mammary tumour, haemangiosarcoma
• Golden Retriever - mast cell tumour, melanoma, soft tissue sarcoma
• Irish Wolfhound - osteosarcoma
• Labrador -  mast cell tumour, melanoma, soft tissue sarcoma
• Poodle (miniature, standard and toy) - melanoma
• Rottweiler - histiocytic sarcoma
• Schnauzer (giant, miniature and toy) - melanoma
• Scottish Terrier - melanoma
• Weimaraner - mast cell tumour

Sue Murphy, the AHT's Head of Oncology, said: "We know cancer is a major cause of death in dogs. The research we are doing here will arm us all with the ability to make better informed decisions about the right course of treatment for each patient."

The samples will also aid with the AHT's research into inherited genetic defects. Researchers are investigating to find out why certain pedigree dogs have an increased risk of developing a specific cancer. The AHT is part of a European research group working on the 'LUPA project' which aims to develop DNA tests to identify dogs which carry the mutations. This should enable breeders to alter their breeding strategies to reduce the incidence of dogs affected by those cancers. It will also allow vets to carefully monitor dogs who have an increased risk of developing cancer.

Mike Starkey added: "The help from veterinary practices and dog owners is invaluable in this research. Without the samples we're unable to progress our work."

If you would like further information about the project, please contact Mike Starkey on 01638 555603 or email mike.starkey@aht.org.uk

VetSurgeon.org has undergone its biggest overhaul since the online community was first launched over a decade ago, specifically to offer a far better platform for clinical discussion than Facebook, and to give referral practitioners a major new incentive to help their general practitioner colleagues online.

Earlier in the year, we conducted a survey of veterinary surgeons to ask what you felt were the biggest problems with using Facebook as a way to share or discuss clinical information.

According to the survey, veterinary surgeons felt the greatest problem with Facebook is that you cannot see the professional qualifications of those contributing to a discussion, so unless you know them offline, you have no context for what they post. Even in closed groups, it can be hard, if not impossible to know whether you are talking to someone with many years' experience, or virtually none; an RCVS Specialist, or a general practitioner, or a veterinary nurse.

The father of the world wide web, Sir Tim Berners-Lee recognised transparency as one of the most significant problems with the Internet during the Dimbleby Lecture at the end of last year. He said:

“Another problem people are perhaps increasingly aware of, particularly more recently, has to do with the fact that much of the web has insufficient accountability. There is by design, no approval system people need to go to, to share their information online. They don’t have to come and ask me to post something. So as soon as someone posts something on the web it can be viewed by a huge number of people. This seemed to work when people posted as individuals with their own reputations at stake. But now we have systems which create fake accounts and there are millions of automated systems, bots we call them, for robots, on social media platforms spreading messages of hate and conflict

"Because of this, misinformation has been spreading rapidly. There are not enough systems holding these people and this information to account. They should be testing the truthfulness of the information organisations and individuals are putting online.”

Whilst it is perhaps unlikely that malign foreign governments have been infiltrating veterinary Facebook groups to spread discord or indeed that there are many individuals deliberately spreading misinformation in this small profession, Sir Tim's point is still highly relevant to the sharing of clinical information, advice, experience or opinion.

The problem is that Facebook gives equivalence to everyone's opinion, an equivalence they simply do not deserve. 

Sir Tim is right, you should indeed be questioning the truthfulness, or rather the accuracy of clinical information and opinions posted by colleagues online, and the starting point for that is knowing who posted it, and what qualifications they hold. 

Improved provenance for posts offers a higher standard of clinical discussion

The new VetSurgeon.org discussion forums make an important step forward with that, by displaying the year and place of qualification next to posts, together with veterinary postnominals, taken from members' full VetSurgeon Profiles. We're also going to make it compulsory for contributing referral practitioners to complete their profile before posting.

Better curation of information

The other biggest problems identified in the survey are how quality information gets drowned in a sea of 'me too' replies on Facebook, how it is difficult to refer back to old posts with useful information and how information is badly curated, making it hard to find what interests you.

On VetSurgeon.org content is now curated both by type, for example forum or news posts, and by areas of clinical interest, which each have their own group you can join and subscribe to. That makes it easier for referral practitioners or postgrad students to follow just their specific area of interest, or for anyone just trying to find information quickly.

We also asked what we could do to encourage you to visit VetSurgeon.org more often for clinical discussions. 62% of you said: 'improve the ease of use on smartphones' and 50.9% said: 'create a way for you to put a question to a group of expert clinicians'.

So that is what we've done (or are doing). 

Enhanced for mobile phone use

The new VetSurgeon discussion forums have been significantly enhanced for mobile phones. The new main navigation makes it far easier to find your way around the site. You can now reply to forum posts on the same page as the original post, which may sound like a small thing, but it makes a big difference. Elsewhere, we've optimised our use of the more limited space available.

Coming soon, new Expert Help Forums

Very soon, we'll be unveiling another feature designed to improve the quality of online clinical discussions, and to stop them drowning in a sea of me too replies. In our new Expert Help Forums, all members will be able to ask a clinical question, but only referral practitioners and selected expert general practitioner members will be able to reply (so long as they display their credentials, of course). When they do, they'll get proper recognition for their help, something which is again missing from Facebook.

With all this talk of better standards of clinical discussions on VetSurgeon.org, it is also worth reminding everyone that time spent in the forums counts towards your annual CPD requirement too. Just click the 'Claim CPD' button in the title.

Finally, as with any building project of this magnitude, there are inevitably some snags. Things that don't work or display as expected, especially on older or more obscure devices. If you come across something like that, please do email details (your browser, version and device type) to support@vetsurgeon.org and we'll endeavour to get it fixed, pronto. 

Photo: Arlo Guthrie, Editor www.vetsurgeon.org

Rimifin (carprofen), an NSAID marketed by Vetoquinol, has been given a new flavour to help increase compliance.

Robert Simpson, Product Manager for Rimifin said: "Pet owner compliance and involvement in chronic pain situations is critical to ensuring effective long term treatment. Ease of administration is also very important in this setting. The addition of this flavouring to this popular and cost effective NSAID will help to ensure that administration to the patient is as easy as possible for pet owners and vets."

To find out more about Rimifin please contact your Vetoquinol Territory Manager or call 01280 825424.

Paisley-based Laura Benson RVN has been suspended for nine months by the RCVS VN Disciplinary Committee for stealing from her veterinary practice and asking a colleague to input false clinical records about her pet.

Ms Benson faced six charges.

The first was that between January 2018 and November 2019 she took a number of bags of dog food and two horse wormer syringes from the practice without paying for them. 

Charge 2 alleged that between November 2018 and November 2019 she took a number of items of animal food and one or more boxes of horse wormer and paid less than the correct amount for them.

Charge 3 was that between October 2018 and November 2019 she arranged for or allowed a friend to receive a discount on items from the practice, without consent from the practice.

Charge 4 alleged that in December 2019 she asked a veterinary surgeon colleague to input details of treatment and/or medicine for her cat into the clinical records of another of her animals that was also registered to the practice.

Charge 5 was that in relation to charges 1, 2 and 3, her conduct was dishonest.

Charge 6 alleged that in relation to charge 4, her conduct was dishonest, potentially compromised the integrity of a professional colleague and was potentially detrimental to animal welfare.

At the outset of the hearing, Ms Benson admitted to charges 1,2,3,4 and 6 of the allegations and the Committee accepted these admissions. The Committee considered evidence from Ms Benson’s colleagues including witness statements, written testimonial and clinical records for her animals.

When asked about taking items from the practice, Ms Benson explained that she did not intend to take items without paying for them and that she had not realised how much she had taken. She also explained that she had paid back in full what she owed to the practice. The Committee considered that Ms Benson’s conduct had involved a degree of premeditation as she had repeatedly taken items over an extended period. They also considered that there had been a potential risk of injury to animals resulting from Ms Benson’s request to incorrectly write up her animal’s veterinary records.

The defence attested that no actual harm had come to any animal because of Ms Benson’s actions and that she previously had an unblemished career in veterinary nursing. She had also admitted most of the charges against her and paid for the items she had taken in full.

Cerys Jones, chairing the Committee and speaking on its behalf, said: “The Committee considered that in the case of Ms Benson, there had been a potential risk to animals had her pet’s records been incorrectly completed, although no harm resulted. The request to alter the records had been a short, single event, but the taking of items had been repeated over a period.

"The Committee also considered that Ms Benson had abused the trust placed in her as a senior nurse with managerial responsibility. We took into account that there was some evidence of Ms Benson being overloaded by work, but there was no evidence of any health condition during the time of the misconduct which might explain her actions.”

The Committee therefore found Ms Benson guilty of serious professional misconduct and decided that a nine-month suspension from the Register was the most appropriate sanction.

Cerys Jones said: “The Committee accepted that Ms Benson had developing insight in making her admissions and we give her credit for her long unblemished career. She admitted to a large part of the allegation, expressed remorse for her actions and has repaid the practice. We have also heard a number of positive testimonials which spoke positively of Ms Benson’s recent conduct.

“However, dishonesty is a serious matter in relation to professional practice and taking no action in response to the serious nature of Ms Benson’s disgraceful conduct would not be proportionate or serve to protect animals and maintain public confidence in the profession.

“Having carefully considered matters, the Committee decided that the appropriate and proportionate sanction, was to suspend Ms Benson’s registration for nine months.”

Ms Benson has 28 days from being informed of the outcome of the hearing to appeal the Committee’s decision.

A groundbreaking 3d printing service offered by Replica 3DM, a spin off of Salisbury NHS District Hospital, has helped referral veterinary orthopaedist Andy Moores in carrying out surgery on dog that won the 2013 Crufts Friends For Life Award. 

Haatchi is an Anatolian shepherd dog whose back left leg and tail were amputated after he was tied to a railway line and hit by a train. As a rescue dog, he was adopted by the family of a young boy called Owen Howkins from Basingstoke. Owen has Schwartz‐Jampel syndrome, which causes his muscles to be permanently tense. The two bonded and became inseparable.

Earlier this year Haatchi developed mobility issues with his remaining hindlimb. He was referred to Anderson Moores Veterinary Specialists, in Hampshire, where a laterally luxating patella was diagnosed. The patella luxation was a result of a complex deformity of the femur and the tibia. Surgery was needed to enable Haatchi to use his leg better.

Replica 3DM, which normally uses its £70,000 printing equipment to make models of human bones and joints, created a 3d model of Haatchi’s hind leg from hip to paw. Normally the company charges around £200 for a human mandible. So, in order to keep costs down, it suggested a scaled down model which would still make Andy's preoperative planning a lot more straightforward and would help identify the correct surgical approach and likely abnormalities which would be encountered. Andy emailed the CT scans to Matt Sherry from Replica 3DM Ltd who converted them into a 3D model of Haatchi’s leg. Production of the model took six hours.

Andy said: "Having access to a scale 3D model of Haatchi's limb prior to surgery not only allowed us to better understand his deformity but it also allowed us to practice the femoral and tibial corrective osteotomies prior to surgery to be sure they would achieve what we intended."

Replica 3DM Ltd is based at Salisbury District Hospital and provides a service producing 3 dimensional products used in various types of surgery e.g. fractured neck of femur, cranioplasty procedures and jaw fractures. The company says that while of course not necessary in all procedures, visualisation of fractures and deformities prior to surgery can help in pre planning of surgery, reducing costs in time and equipment as well as enabling smaller incisions and less soft tissue intervention, so that patient recovery is enhanced. 

For more information, visit www.replica3dm.com or ring Matt Sherry at Replica 3dm on 01722 429185. 

The Moores Orthopaedic Clinic has got approval from the RCVS Ethics Review Panel to offer Biomedtrix third-generation TATE elbow replacement surgery for dogs with severe osteoarthritis as part of a clinical evaluation trial for the implant.

The original TATE elbow replacement was first in clinical use in the 2010s and the revised 3rd generation version is apparently a much-improved implant, something which the clinical evaluation trial should demonstrate.

Andy Moores, head of the joint replacement programme at The Moores Orthopaedic Clinic, said: “Canine elbow replacement can be a game-changer for dogs living with chronic elbow pain but up until this point the elbow replacement systems have not been as reliable as we would like.

"The third-generation TATE implant has been in use with a small number of US surgeons for several years now and the results so far have been very promising.

"We are delighted that Biomedtrix have invited us to join the evaluation trial for this implant and that the RCVS Ethics Review Panel have approved this.

"We look forward to offering this surgery as an option for some of our most painful canine patients.”

www.mooresortho.com

The British Veterinary Association has warned that political measures to reduce antimicrobial resistance in Europe and the UK are in danger of becoming kneejerk reactions that are not based on sound science.

The warning comes ahead of European Antibiotic Awareness Day on 18th November.

To mark the Awareness Day BVA President Peter Jones delivered a webinar to over 300 veterinary surgeons titled "Resisting antimicrobials - are we acting responsibly?" hosted by The Webinar Vet and available to view at www.thewebinarvet.com/bva-webinars.

Peter said: "Any measures to tackle antimicrobial resistance must be based on sound science. At the moment we are resisting calls from parliamentarians and pressure groups in Europe and the UK to significantly restrict a veterinary surgeon's right to prescribe and dispense medicines according to clinical and professional judgement.

"These calls do not reflect the available science. We know from the USA and Denmark that banning or restricting the use of certain antimicrobials in certain species has not reduced the incidence of resistance to certain organisms in humans. Banning the veterinary use of antimicrobials could have a severe impact on animal health and welfare without achieving the desired impact in humans.

"Scientists also agree that human prescribing is more likely to have an impact on human medicine than veterinary use; but that responsible prescribing is essential in both sectors.

"We fully support measures to encourage responsible veterinary use, particularly of those classes of antimicrobial that are critical for human use such as fluoroquinolones and 3^rd and 4^th generation cephalosporins. The BVA responsible use poster states that these medicines should be reserved for clinical conditions that respond poorly to other classes of antimicrobials and where antibiotic sensitivity has been carried out, and that they should not be administered systematically to groups or flocks of animals except in very specific situations.

"Vets in the UK should be aware that the new Code of Professional Conduct states that they must be accountable for choices made on antimicrobial use. This is a very positive step forward in promoting the importance of responsible use."

The RCVS has published a list of 369 veterinary surgeons who missed the 31st May deadline for retention fee payments, were removed from the Register and not restored by 24 June, on its website.

The College says it publishes the list to alert those vets who have not replied to its communications to check their Register status, and to remind veterinary employers to check the registration status of their employees. The registration status of any vet or VN can be checked online at www.rcvs.org.uk/check-the-register.

Information about restoration, and an application form, can be found at www.rcvs.org.uk/registration, or by contacting the RCVS Registration Department: membership@rcvs.org.uk.

For a veterinary surgeon to be restored, a restoration fee needs to be paid, as well as the annual retention fee. The restoration fee is at least £299, and multiplies each successive year a removed member remains off the Register.

A veterinary surgeon's registration acts as a licence to practise and those removed from the Register may not practise unless and until they have been restored.

The Waltham Equine Studies Group has announced the results of two pieces of research designed to improve understanding of the best nutritional support for older horses, whether they are healthy or diagnosed with Pituitary Pars Intermedia Dysfunction (PPID or Cushing's).

The first study: A comparison of nutrient digestibility between adult and aged horses, conducted by the Department of Large Animal clinical Sciences and Animal Science, Michigan State University and The Waltham Equine Studies Group, confirmed (in contrast to earlier work) that there was no difference in digestibility between healthy adult and aged horses when fed a variety of common equine diets.¹ 

In the second study: Characterisation of the faecal bacterial community in adult and elderly horses fed a high fibre high oil or high starch diet, the Institute of Biological Environmental and Rural Sciences, Aberystwyth University, The Waltham Equine Studies Group and Michigan State University used the same horses as the previous study but this time looked at their gut microflora. The results showed that although no significant differences in individual species of bacteria were found, ageing was, however, associated with a reduction in bacterial diversity. This, say the authors, may in part explain why older animals can be at increased risk of intestinal disturbances.²

An abstract that summarised part of the Waltham Equine Studies Group's work on the effect of additional supplementation on aged horses with and without PPID was presented at the 2^nd Dorothy Havermeyer Geriatric Workshop in the USA last November.³ This work, carried out in conjunction with Dr Amanda Adams at the University of Kentucky showed that age is key in influencing inflammation and metabolism rather than whether the horse is PPID positive or not.

Professor Pat Harris, head of the Waltham Equine Studies Group, said: "For the parameters we monitored, the research showed that it is being old that is the issue, rather than having PPID." 

Clare Barfoot RNutr and the research and development manager at Spillers said: “This should give us a better understanding of the effects of diet and age on metabolism in order to determine optimal nutrition for the senior horse. Preliminary work suggests that this new research may change the way we think of feeding the older horse. Waltham’s work continues to ensure that Spillers feeds remain at the forefront of equine nutrition, for the better health of horses everywhere.”

References

1. Elzinga, S., Nielsen, B.D., Schott II, H.C., Rapson, J., Robison, C.I., McCutcheon, J.,Harris, P.A., Geor, R (2014) Comparison of Nutrient Digestibility Between Adult and Aged Horses Journal of Equine Veterinary Science, 34 (10), pp. 1164-1169.
2. Dougal K, de la Fuente G, HARRIS P, Girdwood SE, Pinloche E, et al. (2014) Characterisation of the Faecal Bacterial Community in Adult and Elderly Horses Fed a High Fibre, High Oil or High Starch Diet Using 454 Pyrosequencing. PLoS ONE 9(2): e87424. doi:10.1371/journal.pone.0087424
3. Betancourt A, Harris  PA, Moffett  AD, McMurry  KE, Reedy  SE, Horohov DW, & Adam  AA (2014) Comparison of inflammation, nutritional status, muscle mass, pituitary function, and age in geriatric horses.

Equine charity The Horse Trust has reported an unprecendented number of enquiries from people wanting to rehome their horses and ponies. 

In the three weeks since the financial crisis resulted in repossessions, job losses and cash shortages, more than 500 people made inquiries about having their horses rescued or rehomed.

Susan Lewis, The Horse Trust's marketing manager said: "There is a new generation of horses which is being affected in this way. Animals which have been cherished for 20 years and are now approaching retirement age are becoming too expensive for owners to maintain at livery - especially as the winter season is approaching with its inherent requirements for additional feed, housing and veterinary care."

She added: "Most people are saying: 'Help, what can I do? I adore my horse which has lived with me since I was a tiny child - but now I can barely feed myself let alone my horse. He has always come first - but having lost my home and the field in which I keep him, I just don't know where to turn'.

"It isn't a new story - and we have for many years warned horse owners that they face the issues of cost, care and commitment well into the old age of a horse, which can be up to 30 years. Now, however, it seems that we are facing a more widespread crisis."

Like most other horse charities, the Trust's Home of Rest for horses is full to capacity.

"We simply can't take on any other animals," said Susan. "The charity pound is now stretched to breaking point as people's purses dry up - and with rising feed prices and veterinary charges, it now costs more than £17 a day to keep a horse here.